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psnet.ahrq.gov/node/33595/psn-pdf
December 15, 2024 - Fatigue, Sleep Deprivation, and Patient Safety
December 15, 2024
Fatigue, Sleep Deprivation, and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that
th…
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psnet.ahrq.gov/node/33854/psn-pdf
March 01, 2018 - Missed Nursing Care: A Key Measure for Patient Safety
March 1, 2018
Ball JE, Griffiths P. Missed Nursing Care: A Key Measure for Patient Safety. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
Perspective
Errors in hospitals remain a major cause of death.(1…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
February 01, 2017 - PowerPoint Presentation
Spotlight
The Hazards of Distraction: Ticking All the EHR Boxes
*
Source and Credits
This presentation is based on the February 2017
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Anthony C. Easty, PhD, Adjunct Pr…
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psnet.ahrq.gov/node/33725/psn-pdf
February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing
Tension
February 1, 2012
Dine JC, Myers JS. Balancing Supervision and Autonomy: An Ongoing Tension. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
Perspective
Graduate Medical Education (GME) has changed …
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psnet.ahrq.gov/node/867497/psn-pdf
February 26, 2025 - Retained Surgical Items: Causation and Prevention
February 26, 2025
Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025.
https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
Background
A retained surgical item (RSI) is a surgical patient safety pro…
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - Deep Vein Thrombosis and Pulmonary Embolism Considerations in Orthopedic Surgery.
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psnet.ahrq.gov/node/60611/psn-pdf
June 24, 2020 - Importance of medication adherence and compliance with obtaining laboratory work for monitoring
Cost considerations
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psnet.ahrq.gov/node/852698/psn-pdf
August 30, 2023 - Adoption Considerations Use by Others (Use By Other Organizations)
Per the innovating organization,
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - Management of Intraoperative Bleeding
The management of intraoperative bleeding includes two main considerations
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psnet.ahrq.gov/node/866055/psn-pdf
May 29, 2024 - Adoption Considerations Use by Others (Use By Other Organizations)
According to Ascension, published
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psnet.ahrq.gov/web-mm/no-news-may-not-be-good-news
December 07, 2009 - Removal
December 1, 2015
Perspective
Safety Considerations
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psnet.ahrq.gov/web-mm/standard-deviations
January 01, 2006 - Discharge against medical advice: ethical considerations and professional obligations.
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psnet.ahrq.gov/node/72811/psn-pdf
September 01, 2022 - Adoption Considerations Use by Others (Use By Other Organizations)
In addition to use at the Alfred
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - In addition, numerous anatomical considerations complicate
surgical management of direct trauma to the
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psnet.ahrq.gov/node/74691/psn-pdf
January 01, 2021 - robust infrastructure and analysis effort to support and make the most of the initiative
Adoption Considerations
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psnet.ahrq.gov/node/49388/psn-pdf
February 01, 2003 - An analysis of major errors and equipment failures in anesthesia
management: Considerations for prevention
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psnet.ahrq.gov/node/49834/psn-pdf
July 01, 2018 - Thrombosis of prosthetic heart valves: diagnosis and therapeutic
considerations.
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psnet.ahrq.gov/primer/retained-surgical-items-definition-and-epidemiology
September 15, 2024 - With the above considerations in mind, the term “retained surgical item (RSI)” is clearly preferred over
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - Prescribing in Pregnancy-Associated Nausea and Vomiting Choice of medications in pregnancy should include considerations
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psnet.ahrq.gov/curated-library/nurse-wellbeing-and-patient-safety
August 30, 2023 - the development of a standardized definition of nurse well-being to guide future research and policy considerations